Provider Demographics
NPI:1467661892
Name:SHAH, MEENA (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:MEENA
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 PERIMETER DR
Mailing Address - Street 2:STE 650
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-4134
Mailing Address - Country:US
Mailing Address - Phone:859-977-4342
Mailing Address - Fax:
Practice Address - Street 1:651 PERIMETER DR
Practice Address - Street 2:STE 650
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-4134
Practice Address - Country:US
Practice Address - Phone:859-977-4342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist